1. Health Equity Health Protection…

2. CDC Mission To promote health and quality of life by preventing and controlling disease, injury, and disability

3. Healthy People in Every Stage of Life Healthy People in Healthy Places Healthy People in a Healthy World People Prepared for Emerging Health Threats Health Protection Goals

4. Goals and Strategic Subgoals Health Promotion Health Protection Health Diplomacy Workplace Communities Homes Travel & Recreation Healthcare Settings Schools Institutions Infants & Toddlers Children Adolescents Adults Older Adults Healthy People During Every Stage of Life Healthy People in Healthy Places People Prepared for Emerging Health Threats Healthy People in a Healthy World Prevent Detect & Report Investigate Control Recover Improve

5. Health Protection: Urgent Challenges RNC 2004 Aug 04 West Nile Virus Aug-Nov 02 Space Shuttle Columbia Disaster Feb 03 SARS Mar-Aug 03 Monkey Pox June-Aug 03 Northeast Blackout Aug 03 California Wildfires Oct-Nov 03 Ricin Tularemia Anthrax Oct-Nov 03 BSE Dec 03 Avian Influenza Jan-Mar 04 Guam Typhoon Feb 04 Ricin Domestic Response Feb 04 G8 Summit June 04 2004 Summer Olympics June 04 DNC 2004 July 04 Hurricanes (Charley, Frances, Ivan, Jean) Aug-Oct 04 West Nile Virus Aug-Nov 04 Influenza Vaccine Shortage Oct 04 Tsunami Dec 04 World Trade Center Sept 2001 Anthrax Attacks Oct-Nov 01 Influenza Sept 03 Hurricane Isabel Sept 03 Hurricane Katrina Aug. 05 Marburg Virus Mar 05 Hurricane Rita Sept. 05 Hurricane Wilma Oct 04 E.Coli Nov 06 Climate Change Hurricane Isabel Sept 03 TB May ‘07

6. Health Protection – Urgent Realities

7. Having goals allows CDC to analyze, harmonize, and improve its portfolio of activities and investmentsHaving goals allows CDC to analyze, harmonize, and improve its portfolio of activities and investments The goals process willThe goals process will –identify public health investments –support better partnerships and collaborations –enhance marketing and communication of agency priorities –inform scientific and programmatic agendas –improve the design and delivery of interventions Advantages of Having Goals

8. Characteristics of CDC’s Goals CDC’s Health Protection Goals Complement and support the nation’s Healthy People 2010 goalsComplement and support the nation’s Healthy People 2010 goals Will be achieved in cooperation with numerous national, state, and local partnersWill be achieved in cooperation with numerous national, state, and local partners Include research and discovery necessary for long-term health impactInclude research and discovery necessary for long-term health impact Prioritize CDC’s efforts to reduce health problems that affect certain populations, especially vulnerable groupsPrioritize CDC’s efforts to reduce health problems that affect certain populations, especially vulnerable groups

9. Why we are doing this? CDC and all of our organizational components are better positioned to support our collective work to improve our impact on healthCDC and all of our organizational components are better positioned to support our collective work to improve our impact on health Greater opportunities to collaborate and work with our partnersGreater opportunities to collaborate and work with our partners Enables a much more powerful Congressional Strategy to defend and support public healthEnables a much more powerful Congressional Strategy to defend and support public health Creates a more durable platform to introduce CDC to the incoming USG executive administration in late 2008, early 2009Creates a more durable platform to introduce CDC to the incoming USG executive administration in late 2008, early 2009 Drives us toward “A Healthiest Nation”

10. Access To Quality Health Care Indicator Goal HP 2010USNYS % of adults with health care coverage ** 100%85.5% (2006)86.5% (2006) % of adults with regular health provider ** 96%80% (2006)85.0% (2006) % of adults who have seen a dentist in the past year ** 83.0%70.3% (2006)71.8% (2006) Early stage cancer diagnosis: Breast Cervical Colorectal 63% 53% 40% (1996- 2003) 64% 52% 40% (2000- 2004) Tobacco Use IndicatorGoal HP 2010USNYS % cigarette smoking in adolescents(past month)16.0%23.0% (2005)16.3% (2006) % cigarette smoking in adults12%20.1% (2006)18.2% (2006) COPD hospitalizations among adults 18 + years (per 10,000) 23.0 (2004)41.8 (2004-2006) Lung cancer incidence (per 100,000) Male Female 85.3 54.2 (2004) 82.2 * 53.9 * (2000- 2004) New York State: The Healthiest State

11. CDC: Next steps to make it actionable AccountabilityAccountability –Is the portfolio of activities effective as a set of projects across the organization to achieve the Goal? –Are we having an impact on health? –What is needed to be effective or to improve this effort?

12. CDC: Next steps to make it actionable Measurement Measurement –Moving out of measuring disease status into measuring health status. Individual actionIndividual action –“I understand what we are going to do with Goals” –“I see the next steps” –“I know my role”

13. Moving Goals into Actionable Items Green Hospital projectGreen Hospital project –Combination of environmental interests, patient safety, satisfaction and quantifying costs –Large, complex database –Effect of Single rooms, sunlight on early discharges, reduced infections and patient satisfactionSingle rooms, sunlight on early discharges, reduced infections and patient satisfaction Use of environmentally friendly cleaning agentsUse of environmentally friendly cleaning agents Staging shift changes for nursing staffStaging shift changes for nursing staff

14. Community Partners: Making it actionable Walmart’s Personal Sustainability ProjectWalmart’s Personal Sustainability Project –educate associates on sustainability to improve their health and well being, foster widespread community engagement –Participation in the project is voluntary. Associates create their own PSPs and adopt a pledge to improve their bodies, their families, or their community.

15. Individually: making it actionable Nano-practicesNano-practices – –Bike to work. – –Park in the spot that’s farthest from where you’re going. – –Change your incandescent light bulbs to compact fluorescents. – –Care for a park.

16. For More Information Learn more about CDC’s Health Protection Goals through our Internet site: www.cdc.gov/goals

19. Healthy/Mothers/Healthy Babies/Healthy Children Indicator Goal HP 2010USNYS % early prenatal care (1 st trimester)90.0%83.9% (2005) 75.4% (2005) % low birthweight births (<2500 grams)5.0%8.2% (2005) 8.3% (2005) Infant mortality (per 1,000 live births) ** 4.56.9 (2005) 5.8 (2005) Increase % of 2 year old children who receive recommended vaccines (4 DTaP, 3 polio, 1 MMR, 3 Hib, 3 HepB) 80%80.6% (2006) 83.5% (2006) % of children with at least one lead screening by age 36 months 77% (NYS excl. NYC) (2002 birth cohort) Prevalence of tooth decay in 3 rd grade children42%53.0% (2004) 54.1% (2004) Pregnancy rate among females aged 15-17 years ** (per 1,000)43.044.4 (2002) 36.5 (2005)

20. Physical Activity/Nutrition IndicatorGoal HP 2010USNYS % of overweight/obese children in grades: 2-4 Years (WIC) K 2 4 7 10 14.8% (2004)15.5% (2005) % of adults who are obese (BMI>30) ** 15.0%25.1% (2006)22.9% (2006) % of adults engaged in some type of leisure time physical activity80.0%77.4% (2006)74.0% (2006) % of WIC moms breastfeeding at 6 months 50%23.4% (2004)39.5% (2005) Unintentional Injury IndicatorGoal HP 2010USNYS Unintentional injury mortality (per 100,000) hospitalizations (per 10,000) 17.139.1* (2005) 19.9 * 59.3 * (2003- 2005) Motor vehicle crash related mortality (per 100,000)8.015.2 * (2005) 7.7 * (2003-2005) Pedestrian injury Hospitalizations (per 10,000) 2.0 (2004-2006) Fall related hospitalizations age 65+ years (per 10,000) 206.3 (2004-2006)

21. Healthy Environment Indicator Goal HP 2010USNYS Incidence of children = 10ug/dl (per 100 children tested) 0.0 1.7 (2001-2003) (Rate for NYS Excluding NYC) Asthma related hospitalizations (per 10,000) ** Total Ages 0-17 years 17.316.6 *(2005) 22.6 (2003) 22.2 * 34.1 (2003-2005) Work related hospitalizations (per 10,000 employed persons aged 16+ years) 15.3 (2003-2005) Elevated blood lead levels (>25 ug/dl) per 100,000 employed persons age 16+ years 0.0 6.4 (2003-2005) Chronic Disease IndicatorGoal HP 2010USNYS Diabetes prevalence in adults2.5% (includes children) 7.5% (2006) 7.6% (2006) Diabetes short-term complication hospitalization rate (per 10,000) Age 6-17 years Age 18+ years 2.9 5.5 (2004) 3.1 5.2 (2005-2006) Coronary heart disease hospitalizations (per 10,000) 63.7 * (2003-2005) Congestive heart failure hospitalization rate per 10,000 (ages 18+ years) 48.9 (2004) 44.3 (2005- 2006) Cerebrovascular (Stroke) disease mortality (per 100,000)5046.6 * (2005) 32.6 * (2003-2005)

22. Infectious Disease Indicator Goal HP 2010USNYS HIV infection rate (per 100,000)-18.5 (2006)25.5 (2003-2005) Gonorrhea case rate (per 100,000) 120.9 (2006)90.7 (2006) Tuberculosis cases (per 100,000)1.04.4 (2007)7.2 (2003-2005) Bacterial pneumonia hospitalization rate per 10,000 (ages 18+ years) 41.8 (2004)38.1 (2005-2006) % of adults 65+ years with immunizations - flu shot past year - ever pneumonia 90% 69.6% 66.9% (2006) 64.7% 61.0% (2006) Community Preparedness IndicatorGoal HP 2010USNYS % population living within jurisdiction with state-approved emergency preparedness plans 100% (2007) Mental Health/Substance Abuse Indicator Goal HP 2010USNYS Suicide mortality rate (per 100,000)4.810.9 * (2005) 6.0 * (2003-2005) % adults reporting 14 or more days with poor mental health in last month 10.4% (2003- 2005) % binge drinking past 30 days (5 + drinks in a row) in adults13.4%15.4% (2006) 15.8% (2006) Drug-related hospitalizations (per 10,000) 34.6 * (2003- 2005)